e-Gov ver 3.0.1Print Date: 25-Jan-2011
ANNEXURE-E

Details of inter state purchase from registered dealers for which form C is required
CST Registration No 19200323270 From Date 01-Apr-2010
   To Date 30-Jun-2010
 
SELLER PURCHASE ORDER BILL/CASH MEMO/INVOICE PURPOSE AMOUNT EXCLUDING TAX TAX AMOUNT AMOUNT WITH TAX
NAME ADDRESS STATE TIN NO. NO. DATE NO. DATE
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
  Total Amount Excluding Tax: 0.00 Total Tax Amount : 0.00 Total Amount with Tax: 0.00
I Declare that the information given in this return is correct and complete.
     
Date:  Signature: